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A Model Online Training for Safe Transport of CSHCN

A Model Online Training for Safe Transport of CSHCN. Eileen Blake, MPH Connecticut Children’s Medical Center Injury Prevention Center. Project Members. Connecticut Children’s Medical Center Injury Prevention Center Rehabilitation Therapies Web Master

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A Model Online Training for Safe Transport of CSHCN

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  1. A Model Online Training for Safe Transport of CSHCN Eileen Blake, MPHConnecticut Children’s Medical Center Injury Prevention Center

  2. Project Members • Connecticut Children’s Medical Center • Injury Prevention Center • Rehabilitation Therapies • Web Master • Center for Children with Special Health Care Needs • Education and Development • Riley Hospital for Children • Automotive Safety Program: Safe Travel for All Children • University of Connecticut Video Communications

  3. Problem • Lack of knowledge and resources regarding safe transportation of CSHCN • Parents/Caregivers • Health Care Providers • School Transportation Providers • Identified need for rehabilitation therapists to receive information on safe transport • Web based format to meet time constraints and provide wide access to information

  4. Project Goals and Objectives Goal: Provide increased occupant protection to CSHCN in motor vehicles Objectives: • Adapt 16 hour Safe Travel for All Children Course from hands-on to web based course • Recruit at least 200 rehabilitation therapists to enroll in training • Assess success of web based format and gained knowledge of participants

  5. Methodology • Conduct survey of parents regarding need for information • Develop and manage online training • Recruit rehabilitation therapists • Gather information regarding participants • Pre and Post testing to assess gained knowledge • End of course and follow up evaluation

  6. Course Content • Injury Prevention • Crash Dynamics • Traditional Restraints • Specialized Restraints • Wheelchair Transport • School Bus Transport • Ambulance Transport

  7. Course Participation • 6,000 members of professional organizations sent letter re: course • 1,075 completed online registration process • 852 (80%) consented to participate and were randomly assigned as intervention or control group • 495 (58% of consented participants) completed course

  8. Experimental Design • Control group received pre and post proficiency test • Intervention group received post proficiency test only • Sample test question: • Select the best occupant restraint system for a five year old child who weighs 50 pounds and is in a hip spica cast with a fractured femur. The child is unable to sit upright due to the cast. • Belt positioning booster seat • Large medical seat such as Gorilla, Columbia or other similar • Reclined vehicle seat with safety belt • Modified EZ-On Vest

  9. Course Outcomes • Over 4 months, 495 (58%) completed all eleven online lessons as well as a post-test and evaluation • 85 (10%) did not access any lessons • 272 (32%) accessed at least one or more lessons but did not complete the course

  10. Pre-registration Participant Self Reported Information (n=1075)

  11. Pre-registration Participant Self Reported Counseling (n=1,075)

  12. Pre-registration Conclusions • Participation exceeded expectations • Rehabilitation therapists have had little formal training or experience in occupant protection • Little counseling regarding safe transport provided to families • Families have indicated need for information on safe transport from therapists

  13. Gained Knowledge: Mean Proficiency Test Scores (n=495) *** <.001 significance

  14. Course Evaluation (n=495)* • 2% received additional training since pre-registration • 52% reported that level of knowledge “increased significantly”, 48% “increased” • 32% reported willingness to provide counseling “increased significantly”, 60% “increased somewhat”, 8% no change • 35% reported confidence in providing correct information “increased significantly”, 61% “increased somewhat”, 4% no change * Initial analysis

  15. Course Evaluation (n=495)* • 33% felt ability to serve as resource to colleagues “increased significantly”, 61% “increased somewhat” and 6% “neither increased or decreased • Anticipated number of times provide counseling as a result of course: 11% “increase significantly”, 59% “increase somewhat”, 30% “neither increase or decrease” • 90% would recommend course to a colleague • 43% rate course “excellent”, 46% “good”, 10% “satisfactory”, 1% “poor” * Initial analysis

  16. Follow Up Course Evaluation* • 153 (31%) participants completed follow up evaluation sent by email • 53% reported “significant change” in level of knowledge since course, 45% “somewhat changed”, 3% “no change” • 32% reported “significant increase” in confidence to provide correct information since completing course, 64% “somewhat increased”, 4% “no change” * Initial analysis

  17. Follow Up Course Evaluation • 37% felt ability to serve as a resource to families since completing course “increased significantly”, 60% “increased somewhat”, 13% “no change” • 57% rated course as “excellent”, 39% “good”, 3% “satisfactory”, 1% “poor” • 100% would recommend course to a colleague * Initial analysis

  18. Next Steps • Distribute CD ROM Version of Course • Continue analysis • Submit outcomes to peer reviewed journals • Continue to serve as resource on safe transport • Expand mission beyond transportation injuries to home and recreation injuries experienced by CSHCN

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